MS. WYNDHAM PURSLEY (CRNP) – Women's Health Nurse Practitioner, NPI 1790784429

MS. WYNDHAM PURSLEY (CRNP) is a healthcare provider. based in Marlton, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. RN345567L (PA). The NPI Number for MS. WYNDHAM PURSLEY (CRNP) is 1790784429

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
MS. WYNDHAM PURSLEY (CRNP)
NPI
1790784429
Phone
Not provided
Address
301 LIPPINCOTT DR STE 410
Enumeration Date
15 July 2005
Last Update Date
9 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1997 (29 years ago)
PAC ID
5597822635
Group Practice PAC ID
9830222397
Professional Enrollment ID
I20110427000169
Address ID
NJ085054517BO3242X206X300
Telehealth
Yes

Contacts

Secure Messaging
wpursley12794@directvirtua.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience100
Completeness85
Years active:20State licenses:5Other namesUpdated within 12 months

1,473 NURSE PRACTITIONER in RI

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Provider Addresses for MS. WYNDHAM PURSLEY (CRNP)

  • 301 LIPPINCOTT DR STE 410

    MARLTON, NJ 080534197

    Phone:

    Type: Mailing

  • CVS Caremark Corporation, 1, CVS Drive, Woonsocket, Providence County, Rhode Island, 02895, United States

    WOONSOCKET, RI 028956146

    Phone: (866) 389-2727

    Fax: (401) 652-2032

    Type: Mailing

  • 106 Carnie Blvd

    Voorhees, NJ 080434515

    Phone: (888) 982-3726

    Type: Location

  • 401 YOUNG AVE STE 146D

    MOORESTOWN, NJ 080573130

    Phone: (888) 982-3726

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $199.

Total Amount is formed as General ($199) + Research ($0) + Ownership ($0) = $199.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: ABBVIE INC. ($112).

Total Amount

$199

General + Research + Ownership

Payments

6

Total payment records

General Amount

$199

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-04-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110427000169INurse PractitionerNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes201114$0
G0008Administration of influenza virus vaccine1515$0
90662Influenza vaccine split virus, preservative free1414$0
View full utilization report →

Insurance plans in this area (ZIP 08053)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830222397View full group profile

Reviews

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Frequently asked questions

What is the standard ID for MS. WYNDHAM PURSLEY (CRNP) in the U.S.?
In the U.S., MS. WYNDHAM PURSLEY (CRNP) is identified by NPI 1790784429.
Quick check: is MS. WYNDHAM PURSLEY (CRNP) active?
Public NPPES data shows MS. WYNDHAM PURSLEY (CRNP) with an active NPI status right now.
What type of care does MS. WYNDHAM PURSLEY (CRNP) provide?
MS. WYNDHAM PURSLEY (CRNP)'s profile centers on Women's Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MS. WYNDHAM PURSLEY (CRNP) tied to Marlton, New Jersey?
If you are local to Marlton, New Jersey, MS. WYNDHAM PURSLEY (CRNP) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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